Active NPI
Victoria Easom, M.A., LPC
- Professional Counselor
- North Charleston, SC
National Provider Identifier
1699133892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6770
- Practice address
- 5421 River Bluff Pkwy
North Charleston, SC 29420-7135 - Phone
- (843) 300-0440
- NPI assigned
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6770 | SC | Primary |
Addresses
Primary practice location
5421 River Bluff Pkwy
North Charleston, SC 29420-7135
Mailing address
5421 River Bluff Pkwy
North Charleston, SC 29420-7135
Phone (843) 300-0440
Other practice location 1
1823 Gadsden St
Columbia, SC 29201-2344
Phone (803) 779-5363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1699133892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 RIVER BLUFF PKWY",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207135",
"telephone_number": "843-300-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 RIVER BLUFF PKWY",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207135",
"telephone_number": "843-300-0440"
}
],
"practiceLocations": [
{
"address_1": "1823 Gadsden St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292012344",
"country_code": "US",
"telephone_number": "803-779-5363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASOM",
"first_name": "VICTORIA",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-02",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.